Cactus Steelman

Experienced with identifying, assessing, and mitigating risks to protect organizational assets. Utilizes strategic planning and analytical skills to develop effective risk management solutions. Track record of enhancing operational resilience and ensuring regulatory compliance.

Credentials Clerk - GPI - Cleveland, OH (Contractor Brooke Army Medical Center (BAMC) at Fort Sam Houston, TX)

(2025-11)

• Process applications and reappointment paperwork
• Collect and process verification and accreditation information
• Maintain and update accurate databases for both privileged and non-privileged providers
• Detailed review of 2700 non-privileged providers' packets
• Perform qualitative analysis to ensure accuracy of both privileged and non-privileged providers
• Detailed review of current request of itemized privileges against those held previously and primary source verify all documents

Risk Management Coordinator - Baptist Health System - San Antonio, TX

(2024-06 - 2025-10)

• Manage and disseminate incident reporting for seven (7) facilities with accurate emails for appropriate units for review, approximately 100-600 emails daily
• Manage SafeSite destruction of medical records based on Records Retention rules and regulations
• Prepare response to Board of Nursing and Medical Board
• General Supervision of Assistant Patient Safety Analyst to ensure accuracy of legal documents
• Assist Risk Manager with Claims process and correspondence with attorneys to include gathering medical records, Policies, surveillance, radiology, etc.
• Daily clerical functions to include daily, weekly and monthly report analysis

Risk Management Specialist - MH Systems - Kansas City, KS (Contractor for Wilford Hall Ambulatory Surgical Center (WHASC) at Lackland AFB San Antonio, TX)

(2022-11 - 2024-03)

• Review and route medical files in accordance with Department of Health Agency (DHA) directives
• Advise and assist the clinical leadership in developing responses to allegations of medical malpractice
• Ensured quality of care (QOC) with standard of care (SOC) determination are conducted for all significantly involved providers
• Coordinate, assemble and manage risk management case files
• Create claims files and gather clinical data for QOC reviews
• Sequester Medical Records as indicated in the claim of potential compensable event (PCE)
• Prepare official certified mail
• Coordinate provider's memorandums for records, rebuttals and references staying within the guidelines of DHA and Air Force policy for healthcare risk management activities
• Investigated allegations to check validity and recommend actions to minimize risk
• Arranged risk management team meeting by preparing materials, updating calendars and setting up conference spaces

Risk Management Office Coordinator - BSA Health System LLC - Amarillo, TX

(2019-12 - 2022-04)

• Responsible for organization and efficiency of the Office of Risk Management and Patient Safety
• Provided coordination and submission of insurance claims and applications for 43 facilities
• Investigated all possible lost medical devices to include medications and reimbursed after verification of positive control
• Assisted in in data collection and submission of TX Nursing Board and TX Medical Board inquiries
• Provided administrative support to staff members, assisting with daily tasks as needed to promote productivity across the organization
• Assisted with the hiring process, conducting interviews and onboarding new employees to promote company culture
• Managed company-wide complaints and subpoenas alongside legal teams and risk management staff
• Oversaw maintenance requests for office equipment, ensuring prompt repairs or replacements as needed to prevent downtime
• Managed budgeting process for office expenses, tracking expenditure to ensure compliance with financial guidelines
• Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving
• Managed supervisor itinerary and appointments and streamlined scheduling procedures

Patient Account Representative-Remote - Marshall Health Pediatrics - Huntington, WV

(2016-10 - 2018-03)

• Collect, enter, and process primary and/or secondary claim information on departmental cycle
• Submitted claims and managed follow-up with various insurance carriers on unpaid or rejected claims
• Ensured Insurance verification and authorizations obtained are within the correct dates of service
• Answered Office Managers and/or responsible party inquiries on account status and charges, such as patient responsibility, copays, deductibles, and write-offs
• Followed up with insurance carrier(s) on unpaid and or rejected claims
• Resolved issues and re-submitted claims as needed
• Monitored explanation of benefits received for charges not covered by insurance and applied payment posting
• Worked with outside entities to resolve issues with billing, claims, and payments

Ambulance/Fleet Services Administrative Assistant-Temp - University Health System - San Antonio, TX

(2015-08 - 2016-03)

Temporary Agent with Robert and Half Account Temps' contract with University Health System.

• Verify and correct an average of 56 Ambulance Run Reports daily
• Abstract primary diagnosis for correct and concise billing. Clarify ALS and BLS according to CMS guidelines
• Invoice insurances for payment of ambulance runs for each month
• Aided in the implementation, training, proper coding, and correct documentation needed for Novita's STRAC ICD-10
• Aided in the updating of the Physician Certification Statement based on Novita's STRAC ICD-10
• Assisted planning and execution of a fund-raising event for United Way 2015
• Assisted in monitoring the maintenance and repair of sixty-two vehicles to contract vendors for service and repair as needed
• Trained my replacement

Associates in Science - Health Information Management - SAINT PETERSBURG COLLEGE (2014-12)